Telekardiológia: A telemedicina feladatai és kötelességei

Abstract

Telemedicine is a young science that integrates innovations of information-technology and telecommunications into medical science. A successful telemedicine procedure should guarantee reduced workload of the healthcare system with well secured and cost-effective processes. Our goal was to collect the development phases of telemedicine projects through existing telecardiology solutions. Subsequent to reviewing international publications we analyzed the past and present situation of blood pressure monitoring, remote diagnostics of electrocardiography, implantable cardioverter defibrillator monitoring and pocket ultrasound devices. In case of new solutions (a) several internationally accepted, confidently reproducible "good practices" are needed for creating (b) guidelines and recommendations of international medical associations. They have to ensure (c) cost-effective work, with well-designed sustainability and (d) patient confidentiality. Improving (e) education for professionals and patients is essential. We recommend to telemedicine developers to use our standards in order to introduce their products more effectively into clinical practice. It is encouraging that current possibilities of telecardiology partly or fully meet the aforementioned criteria. Further development of the topic can contribute to financial sustainability of our healthcare and might be able to resolve limitations of human resources. Orv Hetil. 2017; 158(44): 1741-1746.

Telemedicine for diabetes management during COVID-19: what we have learnt, what and how to implement

“…In Hungary, the use of telemedicine has been introduced in several areas of health care prior to the COVID-19 pandemic. Of these, the ECG-based remote diagnostic system introduced by the Hungarian National Ambulance Service (OMSZ) ( 52 , 53 ) was the most widespread. The basis of this is a trans-telephonic ECG (TTECG), which forwards any ECG carried out by the primary care provider or emergency unit from the emergency to a 24-hour cardiac centre.…”